ENFERMEDAD POR REFLUJO GASTROESOFÁGICO

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ENFERMEDAD POR REFLUJO GASTROESOFÁGICO

Type in the name of the multiple-perspectives text.

Example: Bridge to Terabithia by Katherine Paterson

Comprende varias manifestaciones clínicas del reflujo del contenido gástrico hacia el esófago

Identify an important issue from the text that is being presented from different angles. Type it in.

Example: Jesse's drawing talent.

TRATAMIENTO

Farmacológico

Uso de inhibidores de la secreción del ácido gástrico

No impide el reflujo, pero mejora los síntomas

Inhibidores de la bomba de protones

Antagonistas de los receptores de histamina 2

Tres categorías No farmacológicas

Adoptar conductas que disminuya el reflujo y la pirosis

Algunos, pacientes pueden elevar la cabeza en las noches, y no consumir alimentos antes de acostarse.

Evitar alimentos ácidos que son irritantes

Frutas cítricas

Evitar alimentos que reducen la presión de LES

Pues lo convierte en conductores de reflujo

Alimentos grasosos, alcohol, menta, pimienta, café y té

COMPLICACIONES

Decide on the fourth point of view

Type in the name of the last character whose perspective on the issue you are going to present.

Example: Leslie Burke, Jesse's new next-door neighbor, and best friend.

Consecuencia histológica mas frecuente

Point of view

Type in a relevant quote that highlights the character's point of view. Try to follow a citation format: author's name, chapter, and page.

Example: I can't get the poetry of the trees,' he said. She nodded. Don't worry,' she said. You will someday. He believed her.' (Paterson, 4. 24)

METAPLASIA DE BARRETT

How is the viewpoint introduced in the story?

Choose an answer:

En la histología

Metaplasia del epitelio cilíndrico especializado

Aumenta el riesgo de una adenocarcinoma

Se reconoce en la endoscopia

Por presencia de lengüetas mucosas eritematosas

Se extiende en sentido proximal desde la unión gastroesofágica

DIAGNÓSTICO DIFERENCIAL

Whose character does the third point of view belong to?

Type in his/her name.

Example: Mr. Aarons, Jesse's father.

Necesario diferenciar de:

What does the character think, say or do that suggests their perspective on the issue?

Type in a quote and try to maintain the citation format.

Example: 'He would like to show his drawings to his dad, but he didn't dare. (...) He'd thought his dad would be pleased. He wasn't. What are they teaching in that damn school? he had asked.' (Paterson, 2.8)

Se pueden descartar mediante

Endoscopia

Serie gastrointestinal proximal

Ecografía de conductos biliares

Esofagitis infecciosa

What kind of narration introduces the viewpoint?

Choose an answer:

Enfermedad ulcerosa péptica

Dispepsia

Cólico bibliar

Coronariopatía

Trastornos de motilidad esofágica

SÍNTOMAS

Decide on the second point of view

Name the character (it can either be the main character or one of the supporting characters) whose point of view you are presenting.

Example: Miss Edmunds, Jesse's music teacher.

Típicos: PIROSIS - REGURGITACIÓN

Type in a quote that points out the character's position about the issue.

Try to follow a citation format: author's name, chapter, and page.

Example: 'She said he was unusually talented, and she hoped he wouldn't let anything discourage him.' (Paterson, 2. 8)

Puede relacionarse con síndromes extraesofágicos

Asma

Tos crónica

Laringtis

Erosión de piezas dentales

Menos frecuentes

How is the viewpoint introduced in the story?

Choose an answer:

Dolor torácico

Debe descartarse una cardiopatía

Disfagia

Puede conducir a estenosis péptica o adenocarcinoma

FISIOPATOLOGÍA

Decide on the first point of view you are going to present.

Type in the name of the character (it can either be the main character or one of the supporting characters) whose point of view belongs to.

Example: Jesse Oliver Aarons, Jr., the main character of the novel, a fifth-grader living in a rural Southern area.

CONSTA DE

Type in a relevant quote that highlights the character's point of view towards
Comprende varias manifestaciones clínicas del reflujo del contenido gástrico hacia el esófago.

Try following a citation format: author's name, chapter, and page.

Example: 'Jesse drew the way some people drank whiskey. (...) Lord, he loved to draw. (...) When he was in first grade, he told his father that he wanted to be an artist when he grew up.' (Paterson, 2. 7)

Implica que el jugo gástrico lesione el epitelio esofágico

Pepsina, bilis, y enzimas pancreáticas mezcladas con las secreciones gástricas.

La bilis puede atravesar la membrana celular y causar lesión celular grave en un entorno ácido débil.

ESOFAGITIS: Cuando el ácido gástrico y la pepsina que refluye originan necrosis de la mucosa esofágica y generan erosiones y úlceras

What type of narration introduces the viewpoint?

Choose an answer:

FACTORES QUE EXACERBAN

Obesidad abdominal

Embarazo

Estado de hipersecreción gástrica

Retraso del vaciamiento gástrico

Alteración de la peristálsis esofágica

Mecanismos dominantes de incompetencia de la unión esofagogástrica

1. Relajaciones transitorias del esfínter esofágico inferior (LES)

2. Hipotensión del LES

3. Distorsión anatómica de la unión esofagogástrica (hernia hiatal)